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pp. 12449-12460 | Article Number: ijese.2016.911
Published Online: December 16, 2016
Abstract
Fast growth of disease rate among women of age in phase with menopause age is a compelling argument for menopause consideration as one of the main factors affecting quality of lifetime. High rate and seriousness of premenopausal complications impel native and foreign scientists to study this issue, against absence of clear views on development scheme and methods of its prevention and treatment. One of the main tasks, facing society, is perseverance of elderly people’s possibility for quality life that is only possible under conditions of mental health, self-maintenance capacity and sufficient physical activity. The term ‘menopause’, according to a range of authors, defines as permanent menstruation absence associated with ovarian dysfunction. Clinically, menopause is detected in retrospect, if menostasia period reaches 12 months after last menstruation. Term ‘surgical menopause’ is used towards women, whose menstruation function was artificially stopped because of ovariohysterectomy or hysterectomy. If two types of surgical menopause can be related to estrogenic critical types, than surgical menopause with one or two ovaries perseverance doesn’t have such clarity. References about ovarian function after hysterectomy are highly controversial, what complicates surgical interference extent choice and menopausal disturbances prevention methods. Ovarian parenchyma involution takes place at the after hysterectomy period, that leads to reproductive hormones (estrogen, progesterone, testosterone) output decreasing and pituitary gland gonadotropic hormone output increasing. That is why we use hormonal replacement therapy (HRT) for treatment under ovarian functional activity decreasing. HRT use remarkably reduces vasculomotor symptoms and disorders frequency and course, improves carbohydrate and lipid metabolism, prevents reducing of bone mass mineral density and improves woman’s life.
Keywords: Woman’s health, reproductive system, premenopause, elder age, complications, hormonal therapy, replacing substances, quality of life
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